Moexipril effects on lung function in patients with arterial hypertension and chronic obstructive pulmonary disease
Abstract
Aim. Taking into account a theoretical possibility of pro- and anti-inflammatory ACE inhibitor effects, to study moexipril influence on broncho-pulmonary status in patients with arterial hypertension (AH) and chronic obstructive pulmonary disease (COPD); to assess moexipril antihypertensive effect. Material and methods. The study included 25 patients with Stage II essential AH, Risk 3-4, and moderate-to-severe COPD. The effects of adding moexipril to standard therapy were assessed. Lung function dynamics was measured by Valenta diagnostic system. Moexipril antihypertensive action was assessed by 24-hour blood pressure monitoring results. Results. Moexipril did not affect ventilation parameters in COPD patients. Therefore, COPD could not be a contraindication for its administration in AH patients. Conclusion. The study confirmed good moexipril antihypertensive activity. A tendency for ventilation parameters’ improvement during moexipril treatment was observed, but longer observation period is needed for any firm conclusions.
About the Authors
N. V. IvanovaRussian Federation
V. I. Lazareva
Russian Federation
G. N. Kovan’ko
Russian Federation
References
1. Ж.Д. Кобалава, О.Н. Морылева, Ю.В. Котовская, В.С. Моисеев. Артериальная гипертония после менопаузы: лечение ингибитором АПФ моэксиприлом. Клин фармак тер 1997; 6(4): 69-74.
2. Карпов. Эффективность моэксиприла у больных артериальной гипертонией. Российское национальное исследование ЭНИГМА. Электронная версия доклада. ГУНИИ кардиологии ТНЦ СО РАМН (г. Томск).
3. А.Н. Хорошаш, Р.С. Досмагамбетова. Влияние ингтбитора АПФ моэксиприла на состояние функции внешнего дыхания у больных ишемической болезнью сердца в сочетании с хроническим обструктивным бронхитом. Медицина 2001; 4: 60-3.
4. Forth R, Montgomery H. ACE in COPD: a therapeutic target? Thorax 2003; 58: 556-8.
5. Kanazawa H, Hirata K, Yoshikawa J. Effects of captopril administration on pulmonary haemodynamics and tissue oxygenation during exercise in ACE gene subtypes in patients with COPD: a preliminary study. Thorax 2003; 58: 629-63.
6. Brogden RN, Wiseman LR. Moexipril. A Review of its use in the management of essential hypertension. Drugs 1998; 55(6): 845-60.
Review
For citations:
Ivanova N.V., Lazareva V.I., Kovan’ko G.N. Moexipril effects on lung function in patients with arterial hypertension and chronic obstructive pulmonary disease. Cardiovascular Therapy and Prevention. 2006;5(1):45-48. (In Russ.)